RHS Day  2010
Waiting List Form
We are sorry, but we are no longer accepting convention registrations. If would like to be added to our waiting list please complete this form in its entirety. If an opening becomes available we will contact you. Availability is determined on a first come first served basis.

There are no multiple registrations available. Please complete this form in its entirety for each individual being registered.

Fields marked by an asterisk (*) are required.

Please enter your chapter information
*Name of the Official Red Hat Society Chapter with which you are affiliated:
*Chapter Number:
*City:
*State/Province:
*Country:
Personal Information
Purple Perks ID:  - 
*First Name:
*Last Name:
*Street Address:
Unit Number (if applicable):
*City:
*State/Province:
*ZIP or Postal Code:
*Country:
Please enter your Email Address
for speedier confirmation and event updates.
*Phone:
Convention Options
*RHS Day Registration
RHS Day 2010 Registration for Knott's Berry Farm 
RHS Day Registration, April 25, 2010    $45.00
*Are you a Red Hatter or a Pink Hatter?
We want to know who you are! Please tell us if you are a pink hatter or a red hatter. 
I am a Pink Hatter.
I am a Red Hatter.
*ADA Accomodations
Do you have special ADA accommodations for the convention (i.e. wheelchair access, listening devices, etc.)? We will contact you for more details. 
1. No, I do not have special ADA needs.
2. Yes, please contact me for more information.